License holder summary

Kupusamy Anna Umapathy is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kupusamy Anna Umapathy is 4320 FIR STREET STE 404, East Chicago IN 46312. This licensed professional license is not current. The license was granted 08/14/1992 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Kupusamy Anna Umapathy
Controlled Substance Registration - Physician
License number
01036576C
Date granted
08/14/1992
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4320 FIR STREET STE 404, East Chicago IN 46312
indianalicensing.org
ID 5845563
LAST UPDATED 2024-03-07 23:34:19 UTC

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